Ever since her roommate Irma came back from a spelunking trip, Magdalena's skin caught an unbearable itch. Convinced that Irma brought back an infectious disease, Magdalena tries to make sense of the mysterious rash spreading across her body. As she races to find a cure, she's faced with different paths she can take in order to prevent her skin from peeling off inch my inch, revealing a bloody web of suppressed urges and unresolved feelings towards Irma.But each one seems to lead to the same outcome, stirring something long forgotten lurking underneath her skin. Can Magdalena scratch her a way out of her sinister impulsions, or are the impulsions misconstrued to begin with? Extremities #4 is a twisty body horror where every decision you make impacts the outcome.